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Insurance Claims Processing Jobs in Georgia (NOW HIRING)

HealthONE

Claims Processor II

Dalton, GA · On-site

$15 - $19/hr

... insured plan members and review claims to determine coverage based on contract, provider status, and claims processing guidelines. The incumbent must meet quality and productivity standards.

HealthOne Alliance

Claims Processor II

Dalton, GA · On-site

$15 - $19/hr

... insured plan members and review claims to determine coverage based on contract, provider status, and claims processing guidelines. The incumbent must meet quality and productivity standards.

HealthOne Alliance

Claims Processor II

Dalton, GA · On-site

$15 - $19/hr

... insured plan members and review claims to determine coverage based on contract, provider status, and claims processing guidelines. The incumbent must meet quality and productivity standards.

Parker Management

Claims Specialist

Savannah, GA · On-site

$60 - $80/hr

Notify insurance carriers of new claims and serve as the primary point of contact throughout the claims process. * Assist injured employees throughout the claims process, including coordinating ...

HealthOne Alliance

Claims Processor II

Dalton, GA · On-site

$15 - $19/hr

... insured plan members and review claims to determine coverage based on contract, provider status, and claims processing guidelines. The incumbent must meet quality and productivity standards.

IQVIA

Medical Biller/Claims Processing

Atlanta, GA · Remote

$23/hr

Evaluate claims against program-specific business rules todetermineapproval or rejection ... Insurance verificationexperience Required * Experience with payment postings Required * Callcenter ...

IQVIA

Medical Biller/Claims Processing

Atlanta, GA · Remote

$23/hr

Evaluate claims against program-specific business rules todetermineapproval or rejection ... Insurance verificationexperience Required * Experience with payment postings Required * Callcenter ...

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Insurance Claims Processing information

What is insurance claims processing?

Insurance claims processing is the procedure by which insurance companies review, investigate, and settle claims made by policyholders. This process involves verifying the details of a claim, ensuring it meets the terms of the policy, and determining the appropriate payout or action. Claims processors handle documentation, communicate with claimants, and may work with other parties like adjusters or healthcare providers. The goal is to ensure claims are resolved efficiently, accurately, and fairly according to policy guidelines.

What are the key skills and qualifications needed to thrive in insurance claims processing?

To excel in Insurance Claims Processing, you need strong attention to detail, analytical abilities, and a foundational understanding of insurance policies or claims procedures, often supported by a high school diploma or associate degree. Familiarity with claims management software, databases, and sometimes industry certifications like AIC (Associate in Claims) is common. Effective communication, problem-solving skills, and the ability to manage stressful situations make someone stand out in this role. These competencies are critical for ensuring claims are processed accurately, efficiently, and in compliance with regulatory standards.

What are some common challenges faced in insurance claims processing, and how can new team members effectively manage them?

In insurance claims processing, new team members often encounter challenges such as handling high volumes of claims, interpreting complex policy language, and communicating effectively with policyholders and other stakeholders. To manage these challenges, it's important to develop strong organizational skills, stay detail-oriented, and proactively seek clarification when unsure about policy terms or procedures. Collaborating with experienced colleagues and taking advantage of ongoing training opportunities can also help new processors build confidence and efficiency in their daily tasks.

What is the difference between Insurance Claims Processing vs Insurance Adjuster?

AspectInsurance Claims ProcessingInsurance Adjuster
CredentialsTypically requires a high school diploma or equivalent; certifications like CPCU or AIC are commonRequires a high school diploma; certifications like AIC or state licensing often needed
Work EnvironmentOffice-based, processing claims via computer systemsField and office work, inspecting damages and interviewing claimants
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Primary FocusReviewing and processing insurance claims efficientlyAssessing damages and determining claim validity and payout

While both roles are essential in the insurance industry, Insurance Claims Processing focuses on handling and managing claims paperwork, whereas Insurance Adjusters evaluate damages and determine claim settlements. Understanding these differences helps job seekers identify the right career path within the insurance sector.

How to get a job as an insurance claims processor?

To become an insurance claims processor, candidates typically need a high school diploma or equivalent, with some roles preferring postsecondary training or certifications in insurance or claims processing. Relevant skills include attention to detail, communication, and familiarity with claims management software. Gaining experience through internships or entry-level positions can improve job prospects, and some employers may require background checks or specific licensing depending on the state or company policies.

Is insurance claims processing a stressful job?

Insurance claims processing can be a stressful job due to tight deadlines, high workload, and the need for accuracy in evaluating claims. It often requires strong attention to detail, communication skills, and the ability to handle difficult customer interactions, which can contribute to job-related stress.

What does an insurance claims processing do?

An insurance claims processor reviews and evaluates insurance claims to determine coverage and payout amounts. They verify policy details, gather necessary documentation, and ensure claims are processed accurately and efficiently, often using claims management software. Attention to detail and knowledge of insurance policies are essential for this role.

What are popular job titles related to Insurance Claims Processing jobs in Georgia?

For Insurance Claims Processing jobs in Georgia, the most frequently searched job titles are:

What job categories do people searching Insurance Claims Processing jobs in Georgia look for?

The top searched job categories for Insurance Claims Processing jobs in Georgia are:

What cities in Georgia are hiring for Insurance Claims Processing jobs?

Cities in Georgia with the most Insurance Claims Processing job openings:

Insurance Claims Processing jobs near you
Infographic showing various Insurance Claims Processing job openings in Georgia as of August 2026, with employment types broken down into 1% As Needed, 68% Full Time, 19% Part Time, 9% Contract, and 3% Nights. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution.

Life Insurance Claims Operations Specialist

Atlanta, GA • On-site

Infosys McCamish Systems
See more jobs at Infosys McCamish Systemsexternal

Other

Re-posted 4 days ago

Job description

About the Role

We are seeking a detail-oriented and experienced Process Specialist to join our Life Insurance Claims Operations team, supporting a Corporate-Owned Life Insurance (COLI) client. This role sits at the intersection of operational excellence and insurance domain expertise, and is ideal for a professional who thrives in a high-volume, compliance-driven environment.

The successful candidate will bring 3–5 years of hands-on experience in life insurance claims processing, with demonstrated ability to manage complex transactions, resolve exceptions, and maintain quality standards across end-to-end workflows. Prior exposure to COLI claims is a strong differentiator.


Key Responsibilities

  • Perform detailed review and validation of life insurance claims documentation, policy forms, and supporting evidence to ensure completeness, accuracy, and regulatory compliance.
  • Process high-volume, detail-sensitive claims transactions across policy administration systems and workflow tools; research, validate, and resolve discrepancies efficiently.
  • Identify and resolve NIGO (Not In Good Order) items, suspense cases, and pending exceptions while minimizing cycle times and rework.
  • Apply working knowledge of state and federal insurance regulations, internal controls, and privacy standards throughout all claims processing activities.
  • Maintain accurate and audit-ready case notes, documentation, and activity logs to support compliance reviews and client inquiries.
  • Identify trends in errors or exceptions and escalate findings to leadership to drive continuous process improvement.
  • Support UAT, post-release validation, and pilot initiatives for system or process enhancements.
  • Assist with onboarding and knowledge transfer for new team members as needed.
  • Provide back-up coverage across related operational functions and client accounts during peak volume periods.


Required Qualifications

  • 3–5 years of experience in life insurance claims processing operations, with strong command of the end-to-end claims lifecycle.
  • In-depth knowledge of life insurance products including policy lifecycle events: new business, policy changes, disbursements, claims, and regulatory requirements.
  • Proficiency in navigating policy administration systems and workflow platforms in a production environment.
  • Solid understanding of applicable state and federal insurance regulations, compliance checkpoints, and documentation standards.
  • Strong analytical and problem-solving ability; capable of identifying root causes, resolving exceptions, and escalating appropriately.
  • High attention to detail and accuracy with a track record of error-free processing in a regulated environment.
  • Effective communicator with the ability to collaborate across functions including Compliance, Financial Services, and Contact Center teams.

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